Hepatocellular Carcinoma
Conditions
Brief summary
Since the first report of laparoscopic resection of a benign hepatic tumor by Professor H. Reith in 1991, the laparoscope has been widely used in liver disease. Based on its advantages in laparoscopic vision and amplification, laparoscopic hepatectomy (LH) has been well recognized globally. Generally speaking, for lesions located in the left, front or lower part of the liver, corresponding to Couinaud segments II, III, IVb, V and VI, an LH surgery is recommended; however, for lesions located in segments VII and VIII, the surgery is high technically difficult due to poor exposure. Therefore,the investigators employ the left lateral position plus jackknife position to better expose lesions in these segments, hoping to reduce surgical time and bleeding in LH.
Interventions
PROCEDUREJackknife posture
patients with left lateral position plus jackknife position when perform laparoscopic hepatectomy
Sponsors
Sun Yat-sen University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
20 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
1. Patients were diagnosed with hepatocellular carcinoma (HCC) based on the criteria established by the European Association for the Study of the Liver 2. Tumor located in segment VI, VII, or VIII.
Exclusion criteria
1. Major vessel or bile duct tumor invasion, 2. Recurrent HCC 3. Tumor close to secondary vessels and bile ducts 4. Patients with extrahepatic metastasis 5. Grade C liver function, 6. Significant surgical contraindications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operation time | intraoperative | evaluate the efficiency with this posture |
| Blood loss | intraoperative | evaluate the blood loss with this posture |
Outcome results
None listed